Abstract | AIM: METHODS: RESULTS: Clinical symptoms of encephalopathy disappeared in all six patients who underwent splenectomy in combination with portosystemic shunt ligation, with the exception of one patient who had relapsing encephalopathy after 6 months. Follow-up computed tomography showed complete obliteration of the portosystemic shunts, except in the one patient with relapsing encephalopathy who underwent balloon-occluded retrograde transvenous obliteration for the remaining splenorenal shunt 8 months after surgery. PVP significantly decreased after splenectomy. PVP did not increase to the baseline PVP value after ligation of the shunts, except in two patients who had elevated PVP after surgery: PVP increased from 18 to 19 mmHg after ligation in one patient and from 18 to 23 mmHg in one patient. CONCLUSION:
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Authors | Hirotaka Tashiro, Kentaro Ide, Hironobu Amano, Tsuyoshi Kobayashi, Takashi Onoe, Kohei Ishiyama, Shintaro Kuroda, Hirofumi Tazawa, Hirotaka Kono, Hiroshi Aikata, Shoichi Takahashi, Kazuaki Chayama, Hideki Ohdan |
Journal | Hepatology research : the official journal of the Japan Society of Hepatology
(Hepatol Res)
Vol. 43
Issue 3
Pg. 249-54
(Mar 2013)
ISSN: 1386-6346 [Print] Netherlands |
PMID | 22734925
(Publication Type: Journal Article)
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Copyright | © 2012 The Japan Society of Hepatology. |